| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.56 | $1,902.00 | $9,516.00 | |
Anthem BCBS
| Facility | $937.00 | $2,059.00 | $2,412.00 | |
CareSource
| Facility | $43.01 | $62.63 | $62.63 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |